Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $31.41 / $142.43	Facility		$19.02	$31.41	$142.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $33.36 / $53.59	Professional		$21.56	$33.36	$53.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.57 / $85.57 / $85.57	Professional	25	$85.57	$85.57	$85.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $50.91 / $103.83	Professional		$32.64	$50.91	$103.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $40.14 / $56.10	Facility		$30.44	$40.14	$56.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $60.66 / $113.13	Professional		$45.25	$60.66	$113.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $171.64 / $263.31	Facility		$146.88	$171.64	$263.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $123.68 / $155.71	Professional		$61.26	$123.68	$155.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $39.90 / $68.06	Facility		$25.36	$39.90	$68.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $39.90 / $68.06	Facility		$25.36	$39.90	$68.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $126.56 / $321.17	Professional		$58.93	$126.56	$321.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $62.33 / $132.93	Professional		$39.92	$62.33	$132.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $39.90 / $68.06	Facility		$25.36	$39.90	$68.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $88.56 / $145.36	Professional		$53.09	$88.56	$145.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83.62 / $83.62 / $83.62	Facility		$83.62	$83.62	$83.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $236.88 / $321.17	Professional		$117.04	$236.88	$321.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $90.68 / $114.16	Professional		$45.87	$90.68	$114.16
United Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $94.27 / $141.63	Professional		$51.42	$94.27	$141.63